Payment Type
Date of Application (dd/mm/yyyy) Pre-Advice on (dd/mm/yyyy)
Value Date (dd/mm/yyyy)
Bank Ref. No.
Name and Address of Beneficiary’s Bank
Amount to be remitted
Currency Amount
Apply prevailing exchange rates, confirmation over phone not required
Country
SWIFT BIC
Exch. Rate Applied @
Confirmed with
Equivalent
Name of Beneficiary & Address
Remittance Amount
Debit my account no./currency
Charges
Debit my account no./currency
Beneficiary’s Account No.
Please effect this remittance/issue your draft as specified here above,
treating our charges as follows:
Please execute the remittance amount in ful
l
Please execute the remittance amount after deducting charges
Overseas Bank charges to be borne by Applicant Beneficiary
Details of Payment
SW
IFT
Charging is
Fund available from the following:
Proceeds from FX Contracts
(Please indicate Contract No. if any)
Proceeds from Loan/Deposit/Bills/Others
Purpose of remittance is
Account Balance
relating or contributing to nuclear or ballistic-related activities or involving North Korean persons, entities or vessels or goods of North Korean origin);
(ii) any goods which are regulated as strategic or dual use goods and for which I/we have not obtained the necessary approvals or permits from all relevant authorities.
Person to contact:
Telephone:
Applicant’s Name & Address
Authorised Signature & Company Seal
Signature Verified Maker Checker Approver
Please mark “X” in box for fax
confirmation to avoid duplication
Sumitomo Mitsui Banking Corporation Singapore Branch (Incorporated in Japan with limited liability) Reg. No. (UEN) T03FC6366F
(Subject to terms and conditions on the following page)
I/We agree that the remittance requested herein shall be made entirely at my/our risk and subject to Terms and Conditions Governing Accounts and terms contained
in this application for remittance including but not limited to the terms and conditions on the following page of this application for remittance.
If this application for remittance is furnished to you by facsimile, I/we agreed that the original of this application shall be delivered to you within two (2)
Singapore Business days.
I/We understand that the US and other government and/or regulatory authorities impose from time to time, specific sanctions against certain countries, entities and
individuals and you may be unable to process a transaction that involves a breach of sanctions. Further authorities may from time to time require the disclosure of
information. I/We agree and confirm (unless otherwise notified to you) that this remittance is not connected (directly or indirectly) with any sanctioned country,
individual or entity. I/We agree that if you are required to disclose any information or this remittance is blocked, frozen, delayed, refused or cancelled because it
is claimed to be sanctions-related, you shall not be liable for any information disclosed or for any losses, liabilities, penalties, costs or expenses (“Liabilities’) we or
our servants or agents may incur and we shall promptly indemnify on demand you against any Liabilities you may incur. I/We further agree that any remittance that
involves goods, transactions or business relationship directly or indirectly related to a sanctioned country, but is permissible under applicable sanctions, shall
be on such terms and conditions as agreed by you.
I/We agree and confirm that the remittance does not and will not involve:
(i) any goods, transactions or business relationship directly or indirectly related to North Korea (including without limitation transactions through intermediaries or
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FORMSPEC.SMBC.005
Terms and Conditions
1.
Neither Sumitomo Mitsui Banking Corporation Singapore Branch (“the Bank’) nor its correspondents, agents or third
party service providers shall be liable for any loss or damage due to (a) errors, delays or defaults of any kind in the
transmission or delivery of messages or instructions by any means; (b) any act, decree, regulation or law of any
relevant government or governmental agency; (c) failure to locate error in identifying the named payee; (d)non-receipt
of funds by the payee’s bank; (e)any interruption, omission, error or delay caused in the transmission of funds; or (f)
any cause whatsoever beyond the control of the Bank, its correspondents or agents.
2.
The Bank shall have the sole discretion in deciding whether or not to accept a request by the applicant for refund or
repurchase of the transferred funds or the draft, as the case may be. If the Bank agrees to repurchase a draft, it shall be
on the condition that the Bank must first receive the draft duly endorsed by the applicant and the repurchase shall be at
the prevailing demand buying rate for the currency in question. All repurchase and shall be made after deducting the
Bank’s cost, charges, expenses, commissions and interest and shall be subject to the Bank being in possession of the
funds, for which the payment instructions are issued, free from any exchange or other restriction.
3.
Where a remittance or transfer is in a currency other than the currency of the country to which the remittance or
transfer is made, payment shall be made in the currency of that country at the buying rate of the Bank or the Bank’s
correspondent or agent, in absence of any other arrangement between the payee and the correspondent or agent.
4.
If the draft is lost, stolen or destroyed, the applicant will provide the Bank with an acceptable bond or indemnity in
favour of the Bank in connection with any request by the applicant for issuance of replacement draft or refund of the
amount of the original draft.
5.
The applicant undertakes to indemnify and to keep the Bank and its correspondents, agents and third party service
providers indemnified against all losses, claims, actions, proceedings, demands, costs and expenses (including legal
fees on a full indemnity basis and any applicable taxes) (“Liabilities’) incurred or sustained by the Bank of whatever
nature and howsoever arising out of or in connection with the Bank acting on any remittance or funds transfer. The
Bank shall not be liable for any Liabilities arising out of or in connection with acting on any remittance or fund
transfer, save where such loss or damage is directly caused by the gross negligence or wilful misconduct of the Bank
or its employees. This indemnity is in addition to and is not to prejudice or be prejudiced by any other indemnity
which has been or may be given by the applicant.
6.
The applicant authorises the Bank to disclose all information (including remitter’s account number, address and other
information) pertaining to the applicant and the above remittance to any third party at the Bank’s discretion for the
purpose of effecting the applicant’s instructions.
7.
The Bank reserves the right to reject any application without assigning any reason.
8.
Any payment of funds shall be subject to the laws and regulations of the country where the payment is to be made.
9.
The Bank is not responsible or liable for any currency restriction or controls or for withholding/delays/losses/fund
rejections caused by or resulting from any act of any government or governmental agency or failure of any clearing
settlement or payment system or failure of any party to comply with any requirements, approvals, or licences relating
to transactions in a currency or for diminution in value or unavailability of funds.
11.
If it is not specified in the application for remittance, fees are to be borne by the applicant.
13.
The Bank reserves the right, without prior notice, to (a) revise all charges from time to time, and (b) add, alter, vary
and modify any or all of these terms and conditions (“Terms and Conditions”) at any time at its discretion.
14.
These Terms and Conditions shall be governed by and construed in accordance with the laws of Singapore.
15.
Save for any of the Bank’s correspondents or agents and any person appointed by the Bank or save as expressly
provided in these Terms and Conditions, a person who is not a party to these Terms and Conditions has no right under
the Contracts (Rights of Third Parties) Act of Singapore, to enforce or enjoy the benefit of any term of these Terms
and Conditions. Notwithstanding any term of these Terms and Conditions, the consent of any person who is not a
party to these Terms and Conditions is not required to rescind or vary these Terms and Conditions.
10.
The Bank shall not be liable for any Liabilities the applicant may suffer or incur arising out of delays in connection
with any security processes or additional checks performed by the Bank or any other party for fraud detection anti-
money laundering or combating terrorism financing purposes or for legal or regulatory purposes.
Where the Bank has agreed to accept any instruction or application form other than on the Bank’s prevailing standard
form, the applicant agrees that: (a) the applicant shall not, without the Bank’s prior written consent, make any change
to any agreed instruction or application form; and (b) these Terms and Conditions shall apply to any instruction or
application from the applicant. Processing of any such instruction or application by the Bank shall not be deemed to be
consent to any change to any agreed instruction or application form or these Terms and Conditions.
12.
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